Manager, HEDIS

Denver Health

Manager of HEDIS overseeing data collection and analysis to support healthcare quality at Denver Health. Requires strong project management experience within a managed care environment.

Posted 5/20/2026full-timeDenver • Colorado • 🇺🇸 United StatesMid-LevelSenior💰 $98,600 - $152,800 per yearWebsite

About the role

Key responsibilities & impact

Oversee the HEDIS/ HOS data collection, development and analysis
Maintain and update appropriate data collection systems
Support strategic goals of MCR Stars by providing subject matter expertise on quality metrics and HEDIS strategy
Support NCQA accreditation process by providing subject matter expertise on quality standards
Determine work procedures and expedites workflow; assigns duties and reviews work
Prepares necessary and required reports to management
Identifies problems and opportunities for improvement; identifies appropriate solution and involves others in the implementation process
Prepares and/or reviews daily, weekly, monthly and quarterly quality assessment reports
Conducts/reports findings for QI data for all lines of business as required for HEDIS/ HOS activities
Partners with vendors and manages tracking progress during and prior to submission
Creates annual HEDIS training and testing materials

Requirements

What you’ll need

Bachelor's degree in nursing, health informatics, healthcare administration, public health or related field required
4-6 years Project Management experience, preferably in HEDIS/HOS within a managed care environment required
4-6 years previous experience in performing medical record review, inter rater reliability
4-6 years previous experience with HEDIS quality measurements for health plan STAR ratings
4-6 years previous experience in healthcare, quality improvement, statistics and/or evaluation.
Knowledge/familiarity with medical terminology, medical record review, NCQA HEDIS Technical specifications
Ability to work independently as well as collaboratively with other internal and external team members to ensure timelines are met.
Demonstrated leadership skills in working with clinical professionals and office staff
Knowledge of MCR Stars program and NCQA accreditation process including previous experience with HEDIS quality measurements, health plan STAR ratings and quality reporting.

Benefits

Comp & perks

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HEDISHOSdata collectionquality metricsmedical record reviewinter rater reliabilityquality improvementstatisticsevaluationNCQA HEDIS Technical specifications

Soft Skills

leadershipcollaborationproblem-solvingcommunicationworkflow managementreport preparationindependenceteamworkstrategic thinkingtraining development